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Ancillary Services Claim Summary by PaulWhitmoreSas is a document available to read on EtoBox.

What is Ancillary Services Claim Summary about?

The document outlines a medical claim for patient Paul, with claim number 2024179EK4348, processed on June 27, 2024. It details various ancillary services provided on June 23, 2024, including total charges, plan discounts, amounts paid by the plan, and patient responsibilities. The total amount the patient owes is $300.00, while the plan covered a significant portion of the services rendered.

Author

PaulWhitmoreSas

Language

EN